| Yunfei Fan Dds, A Professional Corporation | |
|
1420 Guerneville Rd Ste 5 Santa Rosa CA 95403-4124 | |
| (707) 623-9471 | |
| (707) 978-2463 |
| Full Name | Yunfei Fan Dds, A Professional Corporation |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1420 Guerneville Rd Ste 5, Santa Rosa, California |
| Authorized Official Name and Position | Yunfei Fan (PRESIDENT) |
| Authorized Official Contact | 7076239471 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Yunfei Fan Dds, A Professional Corporation 1420 Guerneville Rd Ste 5 Santa Rosa CA 95403-4124 Ph: (707) 623-9471 | Yunfei Fan Dds, A Professional Corporation 1420 Guerneville Rd Ste 5 Santa Rosa CA 95403-4124 Ph: (707) 623-9471 |
| NPI Number | 1205170065 |
|---|---|
| Provider Enumeration Date | 11/19/2012 |
| Last Update Date | 11/19/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205170065 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 50747 (California) | Primary |
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